Scientist Training Programme Professor Berne Ferry, Head of the NSHCS

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1 Scientist Training Programme 2017 Professor Berne Ferry, Head of the

2 &

3 OUTLINE OF TALK 1. Some FACTS and FIGURES about Healthcare Science 2. What does the Future Look like for YOU 3. TOP TIPS for

4 Ground-breaking National Programme. 1. Making progressive difference: Patient and Clinical outcomes Multi-professional Working New ways of Integrated Working Innovation and Translational Research Outputs of NHS

5 Healthcare Science Workforce: FACTS Science is the fastest moving area in medical practice HCS operate at the cutting edge of novel concepts around diagnosis, treatments, patient care and communication. Operate across all pathways of care Responsible for scientific and clinical services that are both routine and highly specialised. Initiate complex creative use of technological advances. NHS Scientists instigate significant contributions to the innovation pathway, from invention through to translational research, adoption and to diffusion and to knowledge

6 Life Sciences Analytical Toxicology Anatomical pathology Blood transfusion science/transplantation Clinical biochemistry including paediatric metabolic biochemistry Clinical genetics/genetic Science Clinical embryology & Reproductive Science Clinical immunology Cytopathology including cervical cytology Electron microscopy External quality assurance Haematology Haemostasis and thrombosis Clinical Immunology Histocompatibility & immunogenetics Histopathology Microbiology Molecular pathology of acquired disease Phlebotomy Tissue banking Physiological Sciences Audiology Autonomic neurovascular function Cardiac science/ physiology Clinical perfusion science Critical care science/ technology Gastrointestinal physiology Neurophysiology Ophthalmic and vision science Respiratory & physiology Urodynamics science/ and urological measurements Vascular science Vision science Clinical Bioinformatics Genomics Physical Sciences Health Informatics Physical Sciences Biomechanical engineering Clinical measurement & Development Clinical Pharmaceutical Science Diagnostic radiology & MR physics Equipment management & clinical engineering Medical electronics & instrumentation Medical engineering design Medical illustration & clinical photography Nuclear medicine Radiation protection & monitoring Radiotherapy physics Radiopharmacy Reconstructive Science Rehabilitation engineering Renal dialysis technology Ultrasound & non-ionising radiation

7 Scale and impact of Healthcare Science There are approximately 60,000 Healthcare Science staff working in the NHS in the UK (about 5% of the workforce) Mostly based in the acute sector, your work affects almost all patient pathways in primary, secondary, and tertiary care, and informs more than 80% of all clinical decisions Accurate and objective measurement of function is a key component of modern medicine, helping to diagnose conditions, tailor treatment to the individual, and monitor their response

8 @HeadNSHCS

9 @HeadNSHCS

10 FUNDING Health Education England Lead Commissioner Academic Workplace Learning University Employer STANDARDS REGISTRATION NSHCS HCPC & AHCS Professional Bodies

11 UNIVERSITY EMPLOYER NSHCS Introductory Modules E - learning Specialialty teaching Examinations Final examination awarding MSc Induction Rotationa l Specialist & Elective Research modules Continuous assessment DOPs CBDs OCEs MSFs Competencies OSFA Review and confirmation of all Assessments CERTIFICATE OF COMPLETION REGISTRATION

12 Mapping onto the Scientist Training Programme? MSc component Primary delivery and assessment of knowledge Understanding Skills in practical sessions (non-clinical) Work based component Primary assessment of skills (clinical) Understanding Performance

13 What is the OLAT for? Defines work based assessments specific to each specialty standardised marking scheme Creates e-portfolio wide range of file types Facilitates communications Trainee/Training Officer Supervisor/Training Coordinator Enables benchmarking and oversight of progress

14 @NHS_HealthEdEng

15 Healthcare Scientists hugely diverse and highly skilled workforce leading-edge technology e.g. PET, MRI, advanced laboratory diagnostics, i.e. Are proteins working? Are cells functioning? the genomic revolution medical equipment management. patient-facing e.g. POCT. diagnosis and treatment of hearing disorders calibration of pacemakers wheelchair modification telemedicine

16 Speed of change is increasing That was when you grew up This is now This will be when you retire

17 Changing healthcare Healthcare delivery will be vastly different in future Genomics revolution Data and technology avalanche

18

19

20 NHS Scientists are working at forefront of meeting future challenges: Genetic profiling and genome sequencing Integrated & multimodality imaging Enhanced Point of Care Testing Home monitoring and assisted living Data fusion & bioinformatics Regenerative medicine Bio-nanomedicine Bionic limbs Virtual reality and surgical planning models DOING NOW DEVELOPING NOW Genomics Proteomics Transcriptomics

21 Pressure ulcer management Engineers working with nurses Estimated cost of pressure ulcers to NHS is 1.5bn+ CQUIN target to reduce pressure ulcers across the health economy Training nurses Pressure mapping and patients Bespoke solutions

22 Genomic diagnosis tells us what the individual problem is clinical management ALSO: guides KCNJ11 p.v59m Permanent diabetes and developmental delay Sulphonylure a therapy EIF2AK3 p.e371* Wolcott Rallison Syndrome Liver Transplant FOXP3 c.227delt IPEX syndrome Bone Marrow Transplant GATA6 c del Syndromic pancreatic agenesis Insulin and exocrine supplements Five babies five different treatments STAT3 p.t716m Multi-organ autoimmune disease? STAT3 inhibitor

23 Scientists working collaboratively for patient benefit Technology: Smaller/easier to use haemodialysers for self-care Novel haemodialyser More comfortable & effective noninvasive child ventilation masks Novel orthotics for progressive neck muscle weakness HeadUp orthotic developed by Shelford scientists in collaboration with neurologists: multicentre trial involving Shelford Trusts

24 SHEFFIELD Interventional Example Ventricular Tachycardia Ablation Detailed 3D models derived from imaging: CT, MRI & NM Model used directly during the ablation procedure Leads to more effective and safer ablation Model showing main cardiac structures including left ventricular wall thickness. These are used to guide the ablation procedure.

25 @NHS_HealthEdEng

26 TOP TIPS for Success Be collaborative Talk to one another: Social Media/Facebook ** Seek out Trust Lead Scientists Seek out Departmental Educational Leads Seek out Alumni of the programme BE PREPARED: to be a pioneer! Contact University/ NSHCS for ideas,help,support EXPECT

27 3 years on STP

28 3 years on STP

29 TOP TIPS for Success Be collaborative Talk to one another: Social Media/Facebook ** Seek out Trust Lead Scientists Seek out Departmental Educational Leads Seek out Alumni of the programme BE PREPARED: to be a pioneer! Contact University/ NSHCS for ideas,help,support EXPECT CHALLENGES! STAY POSITIVE... It is a

30 @NHS_HealthEdEng

31 Social Media ** BE AWARE of its dangers GPs AND Scientist should avoid indiscreet postings on social media So-called closed social media groups still pose risk, says Medical Defence Union. * Rimmer A. Doctors use of Facebook, Twitter, and WhatsApp is the focus of 28 GMC investigations. BMJ 2017;358:j4099. doi: /bmj.j

32 Enjoy & Good

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